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LSA/ LSC Adult Soccer Medical Release Form and Waiver / Hold Harmless Agreement (for under 23 players and above) Player Information Name Address City Birth date Cell State Zip Phone Date of last Tetanus
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How to fill out LSA LSC Adult Soccer Medical Release

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How to fill out LSA LSC Adult Soccer Medical Release

01
Obtain the LSA LSC Adult Soccer Medical Release form from the official website or your team's administrator.
02
Read through the form carefully to understand the information required.
03
Fill in your personal details, including full name, date of birth, and contact information.
04
Provide emergency contact information, including name and phone number of the person to contact in case of an emergency.
05
Complete the medical history section, including any existing medical conditions, allergies, or medications you are currently taking.
06
Review the consent section and initial where required to indicate your understanding and agreement.
07
Sign and date the form, ensuring that all information provided is accurate and complete.
08
Submit the completed form to your team administrator or designated representative before the deadline.

Who needs LSA LSC Adult Soccer Medical Release?

01
All adult participants in LSA LSC soccer activities are required to fill out the Medical Release form.
02
Coaches and team staff may also need to complete a Medical Release form for their participation.
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The LSA LSC Adult Soccer Medical Release is a legal document that releases liability for medical treatment in the event of injury during soccer activities.
All adult players participating in LSA LSC-sanctioned soccer activities are required to file the LSA LSC Adult Soccer Medical Release.
To fill out the LSA LSC Adult Soccer Medical Release, participants should provide personal information, emergency contact details, and consent for medical treatment, signing the document where indicated.
The purpose of the LSA LSC Adult Soccer Medical Release is to ensure that medical personnel can provide treatment in emergencies and to protect the organization from liability.
The information that must be reported includes the player's name, date of birth, emergency contact information, any known medical conditions, and a signature to indicate consent.
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